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CITY CF Of C011STRUCTION <br /> everett PERMIT PERMIT NO. (7 7944 <br /> CITY HALL 2595745 <br /> EVERETT,WA 98201 AXI COMBINATION IX] BUILDING IXI MECHANICAL PLUMBING <br /> OWNER MAIL ADDPLSS <br /> IY1ONL <br /> Thomas 6 Haugen 8614 53rd Place W. Everett 98204 355-0423 <br /> ARCHITECT OR DESIGNER MMl ADpRE55 CITY <br /> 21P PNpNE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY 21P <br /> PHONE LICENSE/ <br /> Th OM AH C243IR <br /> MECHANICAL CONTTMCTpR MAIL ADDRESS Gn. <br /> ZIP PHONE LICENSE/ <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY <br /> ZIP PHONE LICENSE/ <br /> CLASS OF WOPK <br /> Ent ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> F 66 ,000,00 <br /> DESCRIBE WORK <br /> Construct single family residence <br /> PROPOSED USE OF BUILDING <br /> single family reBidence I HEREBY CERTIFY THAT I HAVE RFAD AND EXAMINED THIS AP. <br /> LEGAL DESCRIPTION OF 1RO1R11 15HUW BELOW OR ATTACH FOUR COPIES- PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> LOT 2 BLOCK__GF Evergreen Ridge ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL.THE PRO. <br /> S 12-28-4 VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> 'TOR npIIDF=° SIGNATURE CONTRACTOR OR AUTHORIZED AGENT ATE <br /> 121 79th Place S .E. X <br /> PLUMBING CHANT L <br /> NO. TYPE OF FIXTURE OR7n- <br /> NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR GOND.UNITS-H P.EA. <br /> 1 BATHTUB REFRIGERATION UNITS-H.P.EA <br /> LAVATORY ASH BASIN BOILERS-H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS-TONNAGE EA <br /> 1 KITCHEN SINK 8 DISP, 1 FORCED AIR 6VSTEMS-B.T.U. MEA. 00 <br /> 1 DISHWASHER 0 WALL HEATERS-B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS-B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN 1 RANGE HOOD FLOOR DRAIN 3 00 <br /> AIR HANDLING UNIT- C F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS-RAINLEADERS 1 METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE-BAR ETC. 0 <br /> SUB TOTAL 18 OO SUB TOTAL f <br /> PERMIT f PERMIT f <br /> TOTAL FEE $ 18 00 TOTAL FEE 16 00 <br /> SIDE YARD 6ETBAf,K STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 61 T <br /> 1 201 20' <br /> FEE RECEIPT - <br /> PTNO <br /> USE ZONE LOT AREA VACANT-SITE 807944 Basic <br /> R-1 x]XES LINO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N R-3 1 <br /> SIZE OF BLDG. NO OF STORIES MAX OCC LOAD BUILDING 566, 000. 219 00 <br /> 241x26 , <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS 18 00 <br /> 3 yes LT E8 RELL. MECHANICAL 16 00 <br /> APPROVAL$ BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECKLIST <br /> 2. BUILDING PLANS e` PENALTY U B C <br /> SEC.303(a) <br /> 3. FIRE HYDRANT fT TOTAL 2 5 3 00 <br /> 1. FIRE IMK)TEGTION SYS PERMP'VALIDATION <br /> 5. GRADING 6 <br /> T Vu � �LY VALID!gD(ITHIS AC6)1 <br /> 6 p( 1E73 <br /> a - <br /> 5J6URAINE :I- <br /> LW, <br /> ENVIR61IIMENTAL IMPABT'.STATFMENT q-z <br /> B. HEAL- I RCT I .: ; R RECEIPT IP <br /> YOUR RECE �' <br /> PPLICATI m BY NS CHECKED BY APPR.FOR ISSUANCE BY- 1\N K YOU THANK YOU C3 <br /> V.C. <br /> f <br /> I5AUG 80 15fli; gp <br /> ADDRESS FILE <br />